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Questions 149

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Question 1 of 5

A client newly diagnosed with diabetes is started on Precose (acarbose). The nurse should tell the client that the medication should be taken:

Correct Answer: C

Rationale: Acarbose should be taken with the first bite of a meal to effectively delay carbohydrate absorption and control postprandial glucose.

Question 2 of 5

The nurse is assessing the client with a total knee replacement 2 hours post-operative. Which information requires notification of the doctor?

Correct Answer: C

Rationale: A hemoglobin of 7 gm indicates significant blood loss, requiring immediate physician notification.

Question 3 of 5

The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

Correct Answer: B

Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.

Question 4 of 5

After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is

Correct Answer: B

Rationale: Sitting quietly with the client provides emotional support, allowing him to process grief and anger without judgment.

Question 5 of 5

A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?

Correct Answer: A

Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.

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